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Intracranial injuries on computed tomography head scans in infants investigated for suspected physical abuse: A retrospective review

Archives of Diseases in Childhood Nov 02, 2020

Daley H, Smith H, McEvedy S, et al. - This study was intended to present the yield of intracranial injuries on CT head scans carried out for suspected physical abuse in infants, compare yields for those presenting with or without signs of head injury, and describe selected clinical and radiological features. Researchers performed a retrospective cross-sectional review of case records of infants undergoing skeletal surveys for suspected physical abuse in Wessex, England. The yield of intracranial injuries on CT head scan was the main outcome measure. A total of 363 CT head scans were included (n=275 aged < 6 months). This study’s findings demonstrate that CT head scans should be carried out in infants who present with neurological signs, skull fractures, or scalp injuries in suspected physical abuse. Nevertheless, they question the value of performing a CT head scan in every infant investigated for suspected physical abuse in balancing potential risks and benefits.

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